Managing Disclosure of Personal Health Information in Smart Home Healthcare

  • Umar Rashid
  • Hedda Schmidtke
  • Woontack Woo
Part of the Lecture Notes in Computer Science book series (LNCS, volume 4555)


Recent advances in ubiquitous computing have evoked the prospect of real-time monitoring of people’s health in context-aware homes. Home is the most private place for people and health information is of highly intimate nature. Therefore, users-at-home must have means to benefit from home healthcare and preserve privacy as well. However, most smart home healthcare systems currently lack support for privacy management for home inhabitants. In this paper, we analyze the privacy needs of smart home inhabitants utilizing a healthcare system and present a conceptual framework to manage disclosure of their personal health information. The proposed framework supports sharing the most meaningful detail of personal health information at different time granularities with different recipients in different contexts. To relieve the burden of configuration, default disclosure settings are provided, and to ensure end-user’s control over disclosure, the option to override default settings is included.


Information disclosure privacy context awareness home healthcare 


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  1. 1.
    Adams, A., Sasse, A.: Privacy in Multimedia communications: Protecting users, not just data. In: Joint Proc. Human-Computer Interaction/Interaction d’Homme-Machine (IMH-HCI 2001), pp. 49–64. Springer, Heidelberg (2001)Google Scholar
  2. 2.
    BBC Health - Talking to your doctor - Patient confidentiality,
  3. 3.
    Beckwith, R., Lederer, S.: Designing for One’s Dotage: Ubicomp and Residential Care Facilities. In: Proc. HOIT 2003, Center for Research on Information Technology and Organizations (2003)Google Scholar
  4. 4.
    Blanchard, J.: Ethical considerations of Home Monitoring Technology. Home. Health Care. Technology Report 53(4), 63–64 (2004)Google Scholar
  5. 5.
    Calnan, M., Row, R.: Trust Relations in the new NHS: theoretical and methodological challenges. Taking Stock of Trust E.S.R.C Conference, LSE (2005)Google Scholar
  6. 6.
    Center for Future Healtth,
  7. 7.
    Chatfield, C., Häkkilä, J.: Designing Intelligent Environments - User Perceptions on Information Sharing. In: Proceedings of the Asia-Pacific Conference on Computer and Human Interactions, pp. 570–574 (2004)Google Scholar
  8. 8.
    Chittaro, L.: Visualization of Patient Data at. Different Temporal Granularities on Mobile Devices. In: Proc. of AVI, pp. 484–487 (2006)Google Scholar
  9. 9.
    Mather, B.V., Sellen, A.: Design for privacy in ubiquitous computing environments. In: Proc. ECSCW (1993)Google Scholar
  10. 10.
    Choi, A., Rashid, U., Woontack, W.: Context-based user adaptive physiological signal analysis. In: Proc. KHCI, pp. 960–965 (2006)Google Scholar
  11. 11.
    Gallup Organization. Public attitudes towards privacy (2000)Google Scholar
  12. 12.
    Harris-Equifax.: Consumer privacy survey, conducted for Equifax by Louis Harris and Associates in association with Dr Alan Westin of Columbia University. Atlanta, GA: Equifax (1996)Google Scholar
  13. 13.
    Hong, J.I., Landay, J.A.: An architecture for privacy-sensitive ubiquitous computing. In: Proc. MobiSys 2004, pp. 177–189. ACM Press, New York (2004)CrossRefGoogle Scholar
  14. 14.
    Jang, S., Woo, W.: Unified Context Representing User-Centric Context: Who, Where, When, What, How and Why. ubiComp workshop (ubiPCMM), pp. 26–34 (2005)Google Scholar
  15. 15.
    Kidd, C.D., Orr, R.J, Abowd, G.D., Atkesson, C.G., Essa, I.A., MacIntyre, B., Mynatt, E., Starner, T.E., Newsletter, W.: The aware Home: A living Laboratory for ubiquitous computing research. In: Proc. CoBuild 1999 (October 1999)Google Scholar
  16. 16.
    Koch, S.: Home Telehealth - current state and future trends. Elsevier International Journal of Medical Informatics (2005)Google Scholar
  17. 17.
    Lederer, S., Mankoff, J., Dey, A., Beckman, C.: Managing Personal Information Disclosure in Ubiquitous Computing Environments. Technical Report IRB-TR-03-015, Intel Research Berkley (2003)Google Scholar
  18. 18.
    Lederer, S., Mankoff, J., Dey, A.: Who Wants to Know What When? Privacy Preference Determinants in Ubiquitous Computing. Extended Abstracts of CHI, pp. 724–725 (2003)Google Scholar
  19. 19.
    Mandl, K.D., Szolovits, P., Kohane, I.S., Markwell, D., MacDonald, R.: Public standards and patients control: how to keep electronic medical records accessible but private. BMJ 322 7281, 283–287 (2001)CrossRefGoogle Scholar
  20. 20.
    Martin, T., Jovanov, E., Raskovic, D.: Issues in Wearable Computing for Medical Monitoring Applications: A Case Study of a Wearable ECG Monitoring Device. In: Proc. 4th Int. Symposium on Wearable Computers, pp. 43–49 (2000)Google Scholar
  21. 21.
    Meyer, S., Rakotonirainy, A.: A Survey of Research On Context-aware Homes. In: Proc. Australasian Information Security Workshop Conference on ACWS Frontiers, pp. 159–168 (2003)Google Scholar
  22. 22.
    Noury, N., Virone, G., Barralon, P., Rialle, V., Demongeot J.: New trends in health smart homes: technological possibilities, societal concerns, economical constraints. In: IEEE Transactions on Information Technology in Biomedicine (TITB-119-2003) Google Scholar
  23. 23.
    Olson, J.S., Grudin, J., Horvitz, E.: A study of preferences for sharing and privacy. In: Extended Abstracts CHI 2005, pp. 1985–1988. ACM Press, New York (2005)CrossRefGoogle Scholar
  24. 24.
    Palen, L., Dourish, P.: Unpacking Privacy for a Networked World. In: Proc. CHI 2003, pp. 129–136. ACM Press, New York (2003)Google Scholar
  25. 25.
    Park, S., Jayaraman, S.: Enhancing the quality of life through wearable technology. IEEE Engineering in Medicine and Biology Magazine 22(3), 41–48 (2003)CrossRefGoogle Scholar
  26. 26.
    Patel, S., Lai, J.: Who gets to know what when: configuring privacy permissions in an awareness application. In: Proc. CHI 2005, pp. 101–110. ACM Press, New York (2005)Google Scholar
  27. 27.
    Patil, S., Kobsa, A.: Designing with Privacy in Mind. Position paper for Workshop on Awareness Systems: Known Results, Theory, Concepts and Future Challenges. In: Proc. CHI (2005) Google Scholar
  28. 28.
    Pratt, W., Unruh, K., Civan, A., Skeels, M.: Personal Health Information Management. Communications of the ACM, Special Issue on Personal Information Management 49(1), 51–55 (2006)Google Scholar
  29. 29.
    Rogers, M.A.M., Buchan, D.A., Small, D., Stewart, C.M., Krenzer, B.E.: Telemedicine improves diagnosis of essential hypertension compared with usual care. Journal of Telemedicine and Telecare, pp. 344–349 (2002)Google Scholar
  30. 30.
    Schmidtke, H.R.: Aggregations and constituents: geometric specification of multi-granular objects. Journal of Visual Languages & Computing 16(4), 289–309 (2005)CrossRefGoogle Scholar
  31. 31.
    Smit, M., McAllister, M., Slonim, J.: Privacy of electronic health records: Public opinion and practicalities. NAEC (2005)Google Scholar
  32. 32.
    Westin A.: How the public views health privacy: survey findings from 1978 to 2005. Privacy & American Business (2005),

Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Umar Rashid
    • 1
  • Hedda Schmidtke
    • 1
  • Woontack Woo
    • 1
  1. 1.U-VR Lab, GIST 

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